DSM-5 Self-Exam Questions Test Questions for the Diagnostic Criteria CHAPTER 12 Sleep-Wake Disorders, Question & answers.100% Accurate 12.1 Which of the following is a core fe

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DSM-5 Self-Exam Questions Test Questions for the Diagnostic Criteria CHAPTER 12 Sleep-Wake Disorders, Question & answers.100% Accurate 12.1 Which of the following is a core feature of insomnia ... disorder? - ✔✔-Correct Answer: B. Dissatisfaction with sleep quantity or quality. 12.2 Which of the following is necessary to make a diagnosis of insomnia disorder? - ✔✔-Correct Answer: B. Difficulty with sleep initiation or sleep maintenance, or early-morning awakening with inability to return to sleep. 12.3 An 80-year-old man has a history of myocardial infarction and had coronary artery bypass graft surgery 8 years ago. He plays tennis three times a week, takes care of his grandchildren 2 afternoons each week, generally enjoys life, and manages all of his activities of daily living independently; however, he complains of excessively early morning awakening. He goes to sleep at 9:00 P.M. and sleeps well, with nocturia once nightly, but wakes at 3:30 A.M. al- though he would like to rise at 5:00 A.M. He does not endorse daytime sleepi- ness as a problem. His physical examination, mental status, and cognitive function are normal. What is the most likely sleep-wake disorder diagnosis? - ✔✔-Correct Answer: E. The man is a short sleeper, which is not a DSM-5 diagnosis. 12.4 Which of the following symptoms is most likely to indicate the presence of hy- persomnolence disorder? - ✔✔-Correct Answer: A. Sleep inertia. 12.5 An obese 52-year-old man complains of daytime sleepiness, and his partner confirms that he snores, snorts, and gasps during nighttime sleep. What poly- somnographic finding is needed to confirm the diagnosis of obstructive sleep apnea hypopnea? - ✔✔-Correct Answer: B. Polysomnographic evidence of at least 5 apnea or hypop- nea episodes per hour of sleep. 12.6 In addition to requiring recurrent sleep attacks, the diagnostic criteria for nar- colepsy require the presence of cataplexy, hypocretin deficiency, or characteris- tic abnormalities on sleep polysomnography or multiple sleep latency testing. Which of the following is a defining characteristic of cataplexy? - ✔✔-Correct Answer: A. It is sudden. 12.7 In DSM-IV, the diagnosis of breathing-related sleep disorder would be given to an individual complaining of excessive daytime sleepiness, with nocturnal polysomnography demonstrating episodic loss of ventilatory effort and result- ing apneic episodes occurring 10-20 times per hour, whose symptoms cannot be attributed to another mental disorder, a medication or substance, or another medical condition. What is the appropriate DSM-5 diagnosis for the same in- dividual? - ✔✔-Correct Answer: D. Central sleep apnea. 12.8 Which of the following metabolic changes is the cardinal feature of sleep- related hypoventilation? - ✔✔-Correct Answer: C. Hypercapnia. 12.9 A 51-year-old man presents with symptoms of chronic fatigue and excessive worrying about current life stressors. He has a strong family history of depres- sion and a past history of a major depressive episode, with some improvement while maintained on antidepressants. On weekday nights, it takes him several hours to fall asleep, and he then has difficulty getting up to go to work in the morning, experiencing sleepiness for the first few hours of awake time. On weekends, he awakens later in the morning and feels less fatigue and sleepi- ness. Which of the following diagnoses apply? - ✔✔- Correct Answer: D. Major depressive disorder in partial remission and circa- dian rhythm sleep-wake disorder, delayed sleep phase type. 12.10 A 67-year-old woman complains of insomnia. She does not have trouble falling asleep between 10 and 11 P.M., but after 1-2 hour [Show More]

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